How much rates vary
Facilitymedian $631 · 10th to 90th $331 to $4,365Professionalmedian $407 · 10th to 90th $295 to $661
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $295.12 Median $295.12 Typical High $316.23 | Facility | None | $295.12 | $295.12 | $316.23 |
Aetna Setting Professional Modifier None Typical Low $295.12 Median $302.00 Typical High $331.13 | Professional | None | $295.12 | $302.00 | $331.13 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $147.91 Median $147.91 Typical High $162.18 | Professional | 52 · Reduced service | $147.91 | $147.91 | $162.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $58.88 Median $60.26 Typical High $66.07 | Professional | 53 · Discontinued | $58.88 | $60.26 | $66.07 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $43.65 Median $44.67 Typical High $48.98 | Professional | 55 · Aftercare only | $43.65 | $44.67 | $48.98 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $29.51 Median $30.20 Typical High $33.11 | Professional | 56 · Pre-op care only | $29.51 | $30.20 | $33.11 |
Capital Blue Cross Setting Facility Modifier None Typical Low $4,265.80 Median $5,011.87 Typical High $79,432.82 | Facility | None | $4,265.80 | $5,011.87 | $79,432.82 |
Capital Blue Cross Setting Professional Modifier None Typical Low $537.03 Median $660.69 Typical High $660.69 | Professional | None | $537.03 | $660.69 | $660.69 |
Cigna Setting Facility Modifier None Typical Low $371.54 Median $371.54 Typical High $371.54 | Facility | None | $371.54 | $371.54 | $371.54 |
Cigna Setting Professional Modifier None Typical Low $316.23 Median $316.23 Typical High $3,019.95 | Professional | None | $316.23 | $316.23 | $3,019.95 |
Emblem Health Setting Professional Modifier None Typical Low $630.96 Median $977.24 Typical High $1,148.15 | Professional | None | $630.96 | $977.24 | $1,148.15 |
Geisinger Setting Facility Modifier None Typical Low $676.08 Median $676.08 Typical High $676.08 | Facility | None | $676.08 | $676.08 | $676.08 |
Geisinger Setting Professional Modifier None Typical Low $354.81 Median $407.38 Typical High $676.08 | Professional | None | $354.81 | $407.38 | $676.08 |
Highmark BCBS Setting Facility Modifier None Typical Low $2,089.30 Median $2,089.30 Typical High $2,089.30 | Facility | None | $2,089.30 | $2,089.30 | $2,089.30 |
Martin's Point Setting Facility Modifier None Typical Low $295.12 Median $295.12 Typical High $295.12 | Facility | None | $295.12 | $295.12 | $295.12 |
Martin's Point Setting Professional Modifier None Typical Low $295.12 Median $316.23 Typical High $331.13 | Professional | None | $295.12 | $316.23 | $331.13 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $147.91 Median $158.49 Typical High $162.18 | Professional | 52 · Reduced service | $147.91 | $158.49 | $162.18 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $58.88 Median $63.10 Typical High $66.07 | Professional | 53 · Discontinued | $58.88 | $63.10 | $66.07 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $43.65 Median $47.86 Typical High $48.98 | Professional | 55 · Aftercare only | $43.65 | $47.86 | $48.98 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $29.51 Median $31.62 Typical High $33.11 | Professional | 56 · Pre-op care only | $29.51 | $31.62 | $33.11 |
Oscar Health Setting Professional Modifier None Typical Low $416.87 Median $691.83 Typical High $1,000.00 | Professional | None | $416.87 | $691.83 | $1,000.00 |
UPMC Health Plan Setting Facility Modifier None Typical Low $457.09 Median $2,570.40 Typical High $4,365.16 | Facility | None | $457.09 | $2,570.40 | $4,365.16 |
UPMC Health Plan Setting Professional Modifier None Typical Low $457.09 Median $457.09 Typical High $630.96 | Professional | None | $457.09 | $457.09 | $630.96 |
United Setting Facility Modifier None Typical Low $331.13 Median $331.13 Typical High $331.13 | Facility | None | $331.13 | $331.13 | $331.13 |
United Setting Professional Modifier None Typical Low $302.00 Median $331.13 Typical High $549.54 | Professional | None | $302.00 | $331.13 | $549.54 |
Where Pennsylvania sits
The same service costs 2.6 times more in Montana than in New York. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Pennsylvania· 23rd of 51
$407
MT $708NY $275
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.